Field Reimbursement Manager – Parkinson’s

This is a fully remote position, open to applicants in Oklahoma.

📋 Description

• Serve as an alternative in-office resource to address healthcare provider (HCP) inquiries regarding patient access.

• Conduct direct outreach to HCP offices within the designated territory.

• Assist with access and reimbursement for Duopa, Vyalev, and Juvmo.

• Provide education to HCPs about patient support programs, access and reimbursement tools, and available services.

• Inform on product-specific acquisition and access options, including specialty pharmacy networks and distribution methods.

• Guide HCPs on resources available for resolving access-related challenges.

• Offer localized insights into national and regional payer policies, coding updates, and claims submission procedures.

• Collaborate with AbbVie’s Access and Reimbursement support center regarding prescription status and program eligibility.

• Report payer trends for approved products to Patient Services and MHC account management teams.

• Build and maintain relationships with providers within the assigned territory.

• Stay updated on managed care, reimbursement, and policy developments.

⛳️ Requirements

• Minimum of 3 years of experience in Managed Health Care, Payer Account Management, and/or Access and Reimbursement.

• Knowledge of the regulations, rules, and risks associated with reimbursement support services.

• In-depth understanding of technical payer policy processes, systems, and requirements related to specialty medicine coverage, coding, and payment.

• Capability to communicate technical coding and billing standards at both national and regional levels across various care settings.

• Extensive knowledge of Medicare Parts A, B, C, and D along with their associated reimbursement dynamics.

• Strong skills in territory and account management.

• Bachelor’s degree required.

• Access to a personal vehicle, company car or truck, or powered material-handling equipment.

• Valid driver's license is necessary.

• Must be able to pass pre-employment drug screening and comply with safe driving standards.

• Must meet applicable HCIR credentialing criteria and maintain good standing or be eligible to obtain credentials, which may involve background checks, drug screenings, proof of immunizations/vaccinations, fingerprinting, and specific licenses.

🏝️ Benefits

• Paid time off including vacation, holidays, and sick leave.

• Comprehensive medical, dental, and vision insurance.

• 401(k) retirement plan.

• Eligibility to participate in long-term incentive programs.

• Access to resources for inquiries regarding HCIR credentialing responsibilities.